CA1188224A

CA1188224A - Compositions for treating glaucoma

Info

Publication number: CA1188224A
Application number: CA000405136A
Authority: CA
Inventors: William L. Matier
Original assignee: American Hospital Supply Corp
Current assignee: American Hospital Supply Corp
Priority date: 1981-06-23
Filing date: 1982-06-14
Publication date: 1985-06-04
Also published as: GR76847B; PH18970A; GB2111387A; EP0082873B1; WO1983000014A1; IT1156058B; IL66070A0; ES513387A0; JPS58500996A; SE462075B; GB8303061D0; US4454154A; IL66070A; SE8300913D0; AU565752B2; ZA824340B; JPH0653663B2; NL8220252A; NZ200972A; IT8267796A0

Abstract

COMPOSITIONS FOR TREATING GLAUCOMA Abstract of the Disclosure A method for the treatment of glaucoma or lowering intraocular pressure in a mammal, involving topically administering to the eye of such mammal a selectively metabolized beta-blocking compound of the formula wherein R may be lower alkyl, lower alkynyl, aryl, or aralkyl; A may be a direct bond, lower alkylenyl, or lower alkenyl; x may be an integer from 1 to 3; Ar may be substituted or unsubstituted aromatic; R1 may be lower alkyl, lower hydroxy alkyl, lower alkenyl, lower alkynyl, or aralkyl; and pharmaceutically accepted salts thereof. Because of a relatively long duration of action of such compounds in ocular fluids and a rela-tively short duration of action in the systemic circula-tion, such compounds are useful for the treatment of excessive intraocular pressure without substantial systemic side effects.

Description

8;~

Background of the Invention .
The present invention relates to a method for the treatment of glaucoma. More particularly, the invention relates to a novel method of treatment of glaucoma or lowering of intraocular pressure by topically administering beta-adrenergic blocking agents to the eye.
Glauco~a is a condition of the eye characterized by increased intraocular pressure. Untreated, the condition can event~ally lead to irreversible retinal damage and blindness. Conventional therapy for glaucoma has involved topical administration o~
pilocarpine and/or epinephrine, administered to the eye several times daily.
Various beta-blocking agents may also be used to lower intraocular pressure. Such use is described, for example, in reviews by W. P. Boger in Drugs, 18, 25-32 (1979) and by T. J. Zimmerman & W. p. Boger in Surv.
Ophthalaol., 23(c), 347 (1979). The use of b blockers for the treatment of glaucoma is also described in the patent literature. For example, U.S.
Patent No. ~,195,085 to Stone discloses a method for treatment of glaucoma by the ocular administration of a beta-blocking compound, timolol maleate. V.S. Patent No. 4,127,674 discloses treating glaucoma with labetalol, a known antagonist of both alpha and beta adrenergic receptors. However, these methods also possess significant drawbacks~ in that the absorption of the beta-blocking compound into the systemic circulation can cause undesirable side effects. Such side effects result from prolonged beta-blocking action on the heart, bronchioles and blood vessels. For example, according to Physicians' Desk Reference, Charles E. Baker, Jr~, 35th Edition, 1981, p. 1233, adverse reactions to the topical use o timolol maleate can include bronchospasm, heart failure, as well as cardiac conduction defects. Accordingly, there is a need for a method of treatment for glaucoma or for lowering intraocular pressure utilizing beta-blocking agents which are relatively free of unwanted systemic side-effects.
Certain beta-blockiny agents which contain enzymatically labile ester groups are known to exhibit short-acting beta-blocking effects in the systemic circulation. Such short-acting beta-blocking compounds (SABBs) have been suggested for treatment or prophylaxis of cardiac disorders as a means for reducing heart work or improving rhythmicity for a short duration. Such short-acting beta-blocking compounds avoid the sometimes counterproductive effects of conventional beta-blocking agents, whose effects are typically long-lived and, therefore, difficult to precisely control.

Summar~ of the Invention In accordance with the present invention, disclosed herein is a method for the treatment of glaucoma or for lowering intraocular pressure in a mammal, comprising topically administering to the eye of such mammal a b_ -blocking compound of the formula:
~ Ol OH
R-O-C - A Ar-O-CH2-CH-CH2-NH-R
. x wherein R is lower alkyl, lower cycloalkyl, lower alkenyl, lower alkynyl, lower alkyl or aryl carboxy-methyl, lower haloalkyl, aralkyl or aryl; A is a direct bond, lower alkylenyl, or lower alkenyl; x is an integer from l to 3, provided that when x is greater than 1, di~ferent occurences of the R-O-C-A- group may be the same or different; Ar is unsubstituted aromatic or aro-matic substituted with lower alkyl~ lower alkenyl, lower ~3~

alkynyl, lower alkoxv, halogen, acetamido, amino, nitro, lower alkylamino, hydroxy, lower hydroxyalkyl or cyano;
R1 is lower alkyl, lower hydroxyalkyl, lower alkenyl, lower alkynyl or aralkyl; or a pharmaceutically acceptable salt thereo~.
Detailed Description of the Invention The above-mentioned short-acting beta-blocking compounds effectively reduce intraocular pressure in the eyes of mammals when topically administered. Because o~
their short-lived duration of action in the systemic circulation, side-effects produced by their migration out of the eye are consequently reduced. It has further been discovered that certain of these compounds show an increased longevity of effect when present in the ocular fluid, compared to the duration of their systemic effects. Consequently, the present invention resides in the treatment of glaucoma or lowering intraocular pressure with a beta-blocking compound which exhibits relatively long duration of action while in the ocular fluid, but which is subject to relatively rapid breakdown into inactive metabolites upon passage to the systemic circulation.
Compounds administered by the method of the present invention are represented by the formula:

_ OH
R-O-~ - A Ar-O-CH2-CH-CH2-NH-R1 wherein R represents lower alkyl of straight or branched carbon chains from 1 to about 10 carbon atoms, lower cycloalkyl of from 3 to about 5 carbon atoms, lower alkenyl of from 2 to about 5 carbon atoms, lower alkynyl of from 2 to about 5 carbon atoms, lower alkyl carboxymethyl in which the alkyl portion contains from 1 to about 5 carbon atoms, aryl carboxymethyl in which the aryl portion contains from 6 to about 8 carbon atoms, aryl of from 6 to about 10 carbon atoms or aralkyl wherein the a].kyl portion contains from about 1 to about 5 carbon atoms and the aryl portion represents substituted or unsubstituted monocyclic or polycyclic aromatic or heterocyclic ring systems of from 6 to about 10 carbon atoms; A represents a direct bond between the ester group and Ar, lower alkylenyl of from l to about 10 carbon atoms~ or alkenyl of from 2 to about 10 carbon atoms; x represents an integer from 1 to 3, provided that whe~ x is greater than 1, different occurrences of the R-O-~-A- ~roup may be the same or different; Ar represents substituted or unsubstituted aromatic, including monocyclic, polycyclic and heterocyclic ring systems, wherein aromatic substituents include lower alkyl of from 1 to about 10 carbon atoms, lower alkenyl of from 2 to about 10 carbon atoms, lower alkynyl of from 2 to about 10 carbon atoms, lower alkoxy of from 1 to about 10 carbon atoms, halogen, acetamido, amino, nitro, lower alkylamino, of ~rom 1 to about 10 carbon atoms, hydroxy, lower hydroxyalkyl of from 1 to about 10 carbon atoms, and cyano; R1 represents lower alkyl of from 1 to about 10 carbon atoms, such as methyl, propyl, hexyl, isopropyl, and the like; lower hydroxyalkyl of from 2 to about 10 carbon atoms, such as hydroxyethyl, hydroxy t-butyl, hydroxyisopropyl and the like; lower alkenyl of from 3 to about lO carbon atoms~ such as allyl; lower alkynyl of from 3 to about ~0 lO carbon atoms such as dimethylpropargyl and the like;
or aralkyl wherein the alkyl portion contains from 1 to about 5 carbon atoms and the aryl portion contains from ~ to about 10 carbon atoms, such as benzyl, phenethyl, naphthylethyl, 3,4-dimethoxyphenethyl and the like.
Such compounds may be administered as their pharmaceutically acceptable acid addition salts, e.g., .

as the hydrochloride, sulfate, phosphate, gluconate, tartrate, et cetera.
In preferred compounds, A is a direct bond, lower alkylenyl of from 3 to about 5 carbon atoms, such as methylene, ethylene, butylene and the like, or lower alkenyl of from 2 to about 5 carbon atoms, sueh as ethenyl, 2-propenyl, 2-butenyl, and the like and x is 1 or 2, and ir. particularly preferred compounds, Ar is phenyl, x is 1 or 2 and A is a direct bond, lower alkylenyl of from 1 to 3 earbon atoms, or lower alkenyl of 2 earbon atoms. It has been found that the compounds in which Ar is phenyl and para-substituted, beta-blocking poteney and shortness of duration of action in blood are improved when ~ is lower alkylene wi~h 1 or more carbons, i.e., the ester group is isolated from the aromatie ring by at least one methylene unit. Alterna-tively, in compounds in which Ar is phenyl, at least one of the ester-containing groups, R-O-C-, is advanta-geously in the ortho-position with respeet to the side chain. It is surprising and presently unexplained, that two configurations of the compounds of the present invention, para-substitution with an ester carbonyl iso-lated from the aromatie ring and ortho-substitution with the ester carbonyl attached directly to the aromatic ring, provide enhanced beta-bloeking poteney and relatively short duration of action in blood.
The ester substituent, R, in preferred compounds, is lower alkyl of from 1 to about 5 earbon atoms, such as methyl, ethy, n-butyl, n-pentyl, and the like; lower alkenyl of from 2 to about 5 earbon atoms, sueh as ethenyl, 2-propenyl,

2-methyl-3-butenyl and the like, lower alkynyl of from 3 to about 5 carbon atoms, sueh as propargyl, methylpropargyl and the like, or lower cyeloalkyl of from 3 to about 5 carbon atoms sueh as cyclopropyl, cyclopentyl, 2-methylcyclopropyl, and the like; Rl is preferably lower alkyl of from 1 to about 5 carbon atoms sueh as methyl, ethyl, propyl, t-butyl, pentyl and the likel lower hydroxyalkyl of from 1 to about 5 carbon atoms, such as hydroxyethyl, hydroxy-t-butyl, hydroxyisopro-pyl and the like; lower alkynyl of from 3 to about 5 carbon atoms such as propargyl, dimethylpropargyl and -the like; or aralkyl, wherein the alkyl portion con-tains from 1 to about 5 carbon atoms and the aryl por-tion contains from 6 to about 10 carbon atoms, such as benzyl, phenethyl, dimethoxyphenethyl, naphthylethyl, phenylbutyl, and the like.
Preferred aromatic substituents include lower alkyl of from 1 to about 5 carbon atoms, lower alkenyl of from 2 to about 5 carbon atoms, lower alkoxy of from 1 to about 5 carbon atoms, halogen, acetamido, amino, nitroJ lower alkylamino of from 1 to about 5 carbon atoms, hydroxy, lower hydroxyalkyl of from 1 to about 5 carbon atoms, and cyano. Particularly preferred aromatic substituents are lower alkyl of from 1 to about 5 carbon atoms, fluoro, chloro, cyano, and alkoxy.
The compounds described herein, as well as their methods of preparation, are disclosed in co-pending Canadian Patent Application No. 390,966, filed Novem-ber 26, 1981. In addition, certain of the compounds which may be employed in the method of the present invention are known in the art. For instance, com-pounds of the above formula in which A is ethenyl are described in U.S. Patent 4,191,765 and in Japan-ese unexamined patent application (Kokai) 7400247 (see also Chemical Abstracts, 80, 95546W (1974)).
Compounds of the above formula in which Rl is 1,1-dimethyl-2-hydroxyethyl are described in British Pat-ent 1,364,280, and compounds in which Rl is dimethyl~
propargyl are described in British Patent 1,450,287.

The compounds of ~his invention are advantageously administered topically to the eye in the form of a solution, ointment, or solid insert such as is described in ~.S. Patent No. 4,195,085 to allow controlled or delayed release of the drug.
Formulations may contain the active compound, preferably, in the form of a soluble acid addition salt, in amounts ranging Erom about 0.01 to about lO~
by wt., preferably, from about 0.5~ to about 5% by wt.
Unit dosages of the active compound can range from about 0.001 to about 5.0 mg., preferably from about 0.05 to about 2.0 mg. The dosage administered to a patient will depend upon the patient's needs and the particular compounds employed.
Carriers used in the preparations of the present invention are preferably non-toxic pharmaceutical organic or inorganic compositions such as water;
mixtures of water and water-miscible solvents, such as lower alcohols; mineral oils; petroleum jellies; ethyl cellulose; polyvinylpyrrolidone and other conventional carriers. In addition, the pharmaceutical preparations may also contain additional components such as emulsifying, preserving, wetting and sterilizing agents. These include polyethylene glycols 200, 300, 400 and 600, carbowaxes 1,000, 1,500, 4000, 6,000 and 10,000, bacteriocidal components such as quaternary ammonium compounds, phenylmercuric salts known to have cold sterilizing properties and which are non-injurious in use, thimerosal, methyl and propyl paraben, benzyl alcohol, phenyl ethanol, buffering ingredients such as sodium chloride, sodium borate, sodium acetates, gluconate buffers, and other conventional ingredients such as sorbitan monolaurate, triethanolamine, oleate, polyoxyethylene sorbitan monopalmitylate, dioctyl - ~ -sodium sulfosuccinate, monothioglycerol, thiosorbitol, ethylenediamine tetracetic acid, and the like.
Additionally, suitable ophthalmic vehicles can be used as carrier media for the present purpose including 5 conventional phosphate buffer vehicle systems, isotonic boric acid vehicles, isotonic sodium chloride vehicles, isotonic sodium borate vehicles and the like.
The method of treatment of this invention advantageously involves the topical administration of eye drops containing the active compound.
Formulations for eye drops preferably include the active compound as a soluble acid addition salt in a properly buffered, sterile, aqueous isotonic solution.
The compounds employed in the method of the present invention are ester group-containing beta-blockers that have a selective, localized, beta blocking effect in the eye after topical administration. Such compounds are thought to be rapidly metabolized by plasma and/or liver esterases into inactive by-products, upon entering the systemic circulation. It has been discovered that these same compounds are relatively stable in ocular fluids, i.e., 1acrimal fluids and aqueous humor.
Consequently, such compounds are useful for the treatment of glaucoma or for lowering intraocular pressure since they remain stable when topically applied to the eye but rapidly metabolize when subsequently absorbed into the systemic circulation.
Some of the compounds break down in the aqueous humor more rapidly than others. Such compounds may advantageously be employed when only a temporary reduction in intraocular pressure is desired, say for diagnostic procedures. Longer acting compounds are generally used for effecting longer-term reductions in -9~

intraocular pressure, such as is desired when treating chronic glaucoma. Thus, the method of the present invention provides a very useful therapeutic alternative for the treatment of glaucoma or for lowering intraocular pressure.
The in vitro studies hereinafter described indicate that the compounds used in the method of the present invention will undergo different rates of enzymatic hydrolysis depending on their location within the body (see Table I). For example, the compound of Example I is completely hydrolyzed within 60 minutes in liver homogenate while only 0.3%
hydrolyzed after one hour in aqueous humor, and only 1.3~ hydrolyzed after two hours. The compound of Example V is less stable in aqueous humor, hydrolyzing

3.6~ after one hour, 13.4% after two hours.
The present invention is further illustrated by the following examples which are not intended to be limiting.

-10~

Examples I-V
The enzymatic hydrolysis rates o:E the following compounds were examined in dog blood, liver homogenate, and aqueous humor:

CH30-C-CH2CH2- ~ -0-CH2CH-CH2N~-CH2-C~ ~ OCH3 COMPOUND OF EXAMPLE I

(C ~3 -0-cH2-cH-cH2-NH

COMPOUND OF EXAMPLE II

CH30-C-CH2CH2- ~ -o-CH2-8H-CH2-NH-C~ ~HCl COMPOUND OF EXAMPLE III

O O CH2-CH-CH2-NH- ~
25CH30-C ~ CH3 COMPOUND OF EXAMPLE IV

CH30-C- ~ CH3 r COMPOUND OF EXAMPLE V

88;~

All of the compounds tested were synthesized in accordance with the examples of Canadian Patent Ap-plication No. 390,966. Acetonitrile was "HPLC" grade.
Distilled water was used to dissolve the compounds and 0.01 N HCl was used to dissolve compounds requiring an acidic pH for dissolutlon.
Fresh aqueous humor was collected from eyes of dogs using a 23 gauge needle while fresh dog blood was collected into heparinized Vacutainer tubes. Fxesh liver was homogenized in 0.9% NaCl using a Potter-Elveh~em Teflon pestle and glass homogenizer making a 25% (W/V) homogenate.
A 0.5 ml aliquot of dog aqueous humor, blood, or liver homogenate was incubated with 12.5 ~g 10.5 ml) of b _ -blocker in a Dubnoff shaking metabolic incubator at 37C for 60 and 120 minutes. Denatured tissue con-trols were prepared by adding 2.0 ml of acetonitrile into 0.5 ml of aqueous humor, blood, or liver homogenate to destroy esterase activities prior to addition of the beta-blockers. These controls were then incubated at 37C for 120 ninutes. After 60 and 120 minutes, the in-cubations were terminated by addition of 2 ml of aceto-nitrile and immediately mixed using a Vortex mixer to stop esterase activities.
All samples were centrifuged at 4000 RPM for 10 minutes to sediment denatured proteins. The resultant supernatants were transferred to WISP vials and ana-lyzed by high pressure liquid chromatography. The hy-drolysis of beta-blockers in aqueous humor, blood, and liver homogenate was determined by disappearance of the compounds. The extent o-f enzymatic hydrolysis in each tissue was determined by comparing the amount of each compound (absolute peak area) recovered at each time point to the amount of each compound (absolute peak area) in denatured tissue control and aqueous control samples.

All of the compounds examined were initially tested ~or chemical hydrolysis in 0.1 N potassium phosphate buffer, pH 7.40l and all were found to be stable for at least three hours (data not shown).
Table 1 summarizes the results of these experiments. The extent of hydrolysis is expressed in terms of the amount of each compound recovered after the incubation period relative to the amount of each compound recovered in the denatured tissue control Most of the SABBs were readily hydrolyzed very rapidly (55.5-98.~% in 120 minutes) when incubated with dog blood and liver homogenate. In contrast, all of the compounds tested were resistant to enzymatic hydrolysis by esterases in dog aqueous humor having hydrolysis rates of D.3-3.6~ in 60 minutes and 1.3-13.4% in 120 minutes.
Example VI
The intraocular pressure lowering effect o~ the compounds of this invention are demonstrated in rabbits with normotensive eyes.
Sterile, isotonic saline solutions of each of the compounds used in procedures of ~xamples I, II, III, IV, and V are prepared by dissolving 10 ! 30 and 100 mg.
samples of each of the active compounds in 1 ml. of saline to give 1%, 3% and 10% solutions with pH about 6.0~7Ø Free amines require one equivalent of HCl to effect dissolution.
The intraocular pressure lowering effect of each compound is determined by treating the eyes of healthy rabbits with the above solutions. Three rabbits are used to evaluate the effect of each drug concentration.
A standard dose of 50 ~1. of each drug solution is applied to one eye of each of the three rabbits.
Intraocular pressure of both eyes is measured with a pressure tonograph or a Mackay-Marg Tonometer before -13~

drug administration and at 15, 30~ 45, 60, 120, 180, 24Q, 300, 360, 420 and 480 min. after dosing. Control rabbits are treated similarly with sterile isotonic saline solution. Intraocular pressure lowering in the treated eyes is compared with the untreated eyes, with saline treated eyes and with predrug pressures. All of the test compounds show intraocular pressure-lowering activityO
Example VII
The experiment of Example VI is repeated in all essential details, except that the following compounds are tested:

~ -CH2cHcH2NHcH2cH2 ~ -OCH3 CH=CHCOOCH3 OCH3 ~ -ocH2cHcH2NHc~(CH3)2 CH=CHCOOCH3 ~ -ocH2cHcH2NH-c ~CH20H

~ IOH ICH3 -oc~2cHcH2NH-c-c--CH

COOCH

Each of the test compounds exhibit intraocular pressure-lowering activity.

Example VIII
The experiment of Example VI is repeated in all essential details, except that rabbits which have corticosteroid-induced ocular hypertension, as described by sonomi~ L., ~t al., Glaucoma, Eds. R. Pittscrick, A.D.S. Caldwell, Academic Press, New York, ppO 98-107 (1980), are substituted for the normotensive rabbits.
Each of the test compounds exhibit intraocular pressure-lowering activity in this model.

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a

Claims

The embodiments of the invention in which an exclu-sive property or privilege is claimed are defined as fol-lows:

1. An ophthalmologic composition for the topical treatment of glaucoma or lowering of intraocular pres-sure which comprises an intraocular pressure-lowering effective amount of a compound of the formula:

wherein R is lower alkyl, lower cycloalkyl, lower al-kenyl, lower alkynyl, lower alkyl or aryl carboxymethyl, lower haloalkyl, aryl, or aralkyl; A is a direct bond, lower alkylenyl or lower alkenyl; x is an integer from 1 to 3, provided that when x is greater than 1, differ-ent occurrences of the group may be the same or different; Ar is unsubstituted aromatic or aromatic sub-stituted with lower alkyl, lower alkenyl, lower alkynyl, lower alkoxy, halogen, acetamido, amino, nitro, lower al-kylamino, hydroxy, lower hydroxyalkyl, or cyano; R1 is lower alkyl, lower hydroxyalkyl, lower pharmaceutically acceptable salt thereof and an ophthalmologically accept-able carrier.

2. The composition of claim 1, wherein A is a di-rect bond, an alkylenyl group of from 1 to 5 carbon at-oms or alkenyl of from 2 to about 5 carbon atoms; and x is 1 or 2.

3. The composition of claim 1, wherein Ar is phenyl;
x is 1 or 2; A is a direct bond, an alkylenyl group of from 1 to about 3 carbon atoms, or alkenyl of from 2 to about 3 carbon atoms and at least one of the groups is in the ortho position with respect to the group.

4. The composition of claim 1, wherein Ar is phenyl;
x is 1 or 2; A is alkylenyl of from 1 to about 3 carbon atoms, and at least one of the groups is in the para position with respect to the group.

5. The composition of claim 3 or 4, wherein R is lower alkyl of from 1 to about 5 carbon atoms.

6. The composition of claim 1, wherein the compound is of the formula:

wherein A is an alkylene group of from 1 to about 3 car-bon atoms, or alkenyl of from 3 to about 5 carbon atoms;
R is lower alkyl of from 1 to about 5 carbon atoms, lower alkenyl of from 2 to about 5 carbon atoms, or lower alky-nyl of from 3 to about 5 carbon atoms; Y is hydrogen, lower alkyl of from 1 to about 5 carbon atoms, lower al-kenyl of from 2 to about 5 carbon atoms, lower alkynyl of from 2 to about 5 carbon atoms, lower alkoxy of from 1 to about 5 carbon atoms, halogen, acetamido, amino, nitro, lower alkylamino of from 1 to about 5 carbon atoms, hydroxy, lower hydroxyalkyl of from 1 to about 5 carbon atoms or cyano; and R1 is lower alkyl of from 1 to about 5 carbon atoms, lower hydroxyalkyl of from 2 to about 5 carbon at-oms, lower alkenyl of from 3 to about 5 carbon atoms, or aralkyl wherein the alkyl portion contains from 1 -to about 5 carbon atoms and the aryl portion contains from 6 to about 10 carbon atoms.

7. The composition of claim 1, wherein the compound is of the formula:

wherein A is alkylenyl of from 1 to about 3 carbon atoms;
R is lower alkyl of from 1 to about 5 carbon atoms, lower alkenyl of from 2 to about 5 carbon atoms or lower alky-nyl of from 3 to about 5 carbon atoms; Y is hydrogen, low-er alkyl of from 1 to about 5 carbon atoms, lower alkenyl of from 2 to about 5 carbon atoms, lower alkynyl of from 2 to about 5 carbon atoms, lower alkoxy of from 1 to about 5 carbon atoms, halogen, acetamido, amino, nitro, lower alkylamino of from 1 to about 5 carbon atoms, hydroxy, lower hydroxyalkyl of from 1 to about 5 carbon atoms or cyano; and R1 is lower alkyl of from 1 to about 5 carbon atoms, lower hydroxyalkyl of from 2 to about 5 carbon at-oms, lower alkynyl of from 3 to about 5 carbon atoms, or aralkyl wherein the alkyl portion contains from 1 to about 5 carbon atoms and the aryl portion contains from 6 to about 10 carbon atoms.

8. The composition of claim 1, wherein the applied compound is:
wherein R is methyl, ethyl or propargyl, and R1 is iso-propyl, t-butyl, hydroxy-t-butyl, dimethyl propargyl, or 3,4-dimethoxyphenethyl.

9. The composition of claim 8, wherein R is ethyl, and R1 is isopropyl or t-butyl.

10. The composition of claim 1, wherein the applied compound is:

wherein R is methyl, ethyl or propargyl, and R1 is iso-propyl, t-butyl, hydroxy-t-butyl, dimethylpropargyl, or 3,4-dimethoxyphenethyl.

11. The composition of claim 10, wherein R is methyl, and R1 is isopropyl or t-butyl.

12. The composition of claim 10, wherein R is ethyl, and R1 is isopropyl or t-butyl.

13. The composition of claim 7, wherein R is cyclo-propylmethyl or propargyl; R1 is isopropyl or t-butyl; Y
is hydrogen; and A is ethylene.

14. The composition of claim 1, wherein the compound is:
wherein R is methyl, ethyl, or propargyl; R1 is isopropyl, t-butyl, hydroxy-t-butyl, dimethylpropargyl, or 3,4-dimethoxyphenethyl.

15. The composition of claim 1, wherein the compound is:

wherein R is methyl, ethyl, or propargyl; R1 is isopropyl, t-butyl, hydroxy-t-butyl, dimethylpropargyl, or 3,4-dimeth-oxyphenethyl.

16. The composition of claim 1, wherein the ophthal-mologically acceptable carrier is a sterile, buffered, aqueous isotonic solution.

17. The composition of claim 6, wherein the ophthal-mologically acceptable carrier is a sterile, buffered, aqueous isotonic solution.

18. The composition of claim 7, wherein the ophthal-mologically acceptable carrier is a sterile, buffered, aqueous isotonic solution.

19. The composition of claim 8, wherein the ophthal-mologically acceptable carrier is a sterile, buffered, aqueous isotonic solution.

20. The composition of claim 10, wherein the ophthal-mologically acceptable carrier is a sterile, buffered, aqueous isotonic solution.

21. The composition of claim 14, wherein the ophthal-mologically acceptable carrier is a sterile, buffered, aqueous isotonic solution.

22. The composition of claim 16, 17 or 18, further comprising a preserving agent selected from the group consisting of quaternary ammonium compounds, phenylmer-curic salts, thimerosal, methyl paraben, propyl paraben, benzyl alcohol and phenyl ethanol.

23. The composition of claim 19, 20 or 21, further comprising a preserving agent selected from the group consisting of quaternary ammonium compounds, phenylmer-curic salts, thimerosal, methyl paraben, propyl paraben, benzyl alcohol and phenyl ethanol.

24. The composition of claim 16, 17 or 18, further comprising a preserving agent selected from the group consisting of quaternary ammonium compounds, phenylmer-curic salts, thimerosal, methyl paraben, propyl paraben, benzyl alcohol and phenyl ethanol, and further compris-ing ethyl cellulose, polyvinylpyrrolidone, or polyethyl-ene glycol.

25. The composition of claim 19, 20 or 21, further comprising a preserving agent selected from the group consisting of quaternary ammonium compounds, phenylmer-curic salts, thimerosal, methyl paraben, propyl paraben, benzyl alcohol and phenyl ethanol, and further compris-ing ethyl cellulose, polyvinylpyrrolidone, or polyethyl-ene glycol.

26. The composition of claim 16, 17 or 18, wherein the compound is presenting a concentration of from about 0.01% to about 10% by weight.

27. The composition of claim 19, 20 or 21, wherein the compound is presenting a concentration of from about 0.01% to about 10% by weight.

28. The composition of claim 16, 17 or 18, further comprising a preserving agent selected from the group consisting of quaternary ammonium compounds, phenylmer-curic salts, thimerosal, methyl paraben, propyl paraben, benzyl alcohol and phenyl ethanol, wherein the compound is present in a concentration of from about 0.5% to about 5% by weight.

29. The composition of claim 19, 20 or 21, further comprising a preserving agent selected from the group consisting of quaternary ammonium compounds, phenylmer-curic salts, thimerosal, methyl paraben, propyl paraben, benzyl alcohol and phenyl ethanol, wherein the compound is present in a concentration of from about 0.5% to about 5% by weight.